July 2010 Edition

Preparing for and Surviving the Death of a Child


Perspectives

The Magnificence of Disability
Lately I've been reading the book The Boy in the Moon:  A Father's Search for His Disabled Son, by Ian Brown.  It's a memoir that many of us will identify with, a father searching to determine the meaning and value of his son's life, despite a rare complex medical condition and associated disability. 

Near the end of the book, the author interviews Dr. Bruce Blumberg, a geneticist who also happens to be blind in one eye.  He states,

We're arrogant enough to believe that sentience is all that counts.  It's not all that counts.  A sequoia is not a sentient being.  But they count.  There is nothing more magnificent.  It doesn't require me to think about it to be in awe of it....But it's just a mistake to think of [children with disabilities] as lesser than.  There's no lesser than.  There's just different from.  It isn't just great minds that matter.  It's great spirits too.

The sequoia--the giant redwood of the west--is one of the most magnificent trees to grace our planet, and a wonder to behold.  But does the sequoia talk?  Does it walk?  Does it read at a first grade level?  No.  Frankly, next to the average tree, one could even posit that the great sequoia is a tree with a disability, for it surely has a form of giganticism!  All it does is grow, year after year for thousands of years, until it becomes a massive giant, amazing in its magnificence.
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Channeling Dan
by Jennifer A. Peterson
The wake of Patrick Swayze's death from pancreatic cancer serves as a bittersweet reminder of someone else I lost from the same disease:  my former boss.  His name was Daniel Bebble.  He was a loving husband, father of four, formidable attorney, community leader, and all-around solid guy.  Dan died of pancreatic cancer at the age of 37. 

The approach I take in life is that everything happens for a reason, and I think I worked with Dan for a very specific purpose:  to learn lessons I would later need to advocate for my child with a disability.  In college, I started working for a degree in Nursing and I managed to learn a vast amount of medical terminology and anatomy, but in the end, I changed my major to Justice Studies and then went on to work for Dan.  There is no doubt whatsoever the work that I did for Dan paved my future as an advocate for my children.  He helped me to realize and apply my potential. 

Focus:  Preparing for and Surviving the Death of a Child

An Introduction to Pediatric Palliative Care
by Scott Millard
Life or Death.  Good versus Evil.  Isn't that how we have been taught to think of it?  We have been conditioned to equate death with losing, and because of this we seek out any treatment available to extend life as long as possible.  But what if the length of days were not the primary measure of a life?  What if the quality of our days was more important than the quantity of them?

This is where Palliative Care comes in.  Palliative Care is about life--quality of life.  It is often misunderstood and misrepresented as being about death, and often wrongly thought of as just another term for hospice or end of life care, but that is not at all what it is about.  It is about life.  At its essence, palliative care is about adding life to days when days cannot be added to life.


Living Your Best While Preparing for the Worst
by Jamie Barnes
Hayden, one of my four quadruplets, has an unknown progressive syndrome that is slowly devastating his body.  This is the story of how we have chosen for our family to live life, preparing for the worst while enjoying our life together.

After an intra-uterine insemination procedure, we were surprised to find out that all four ovums developed into embryos.  But even early on we knew something was different about one:  it was far smaller than the other three.  By 20 weeks, we had named each baby and knew where each one was positioned.  We named that little fighter Hayden. 

The quadruplets were born after a relatively uncomplicated pregnancy at 32.4 weeks gestation.  Hayden was the tiniest at 2 lbs 15 oz, but aside from jaundice, he was a healthy preemie breathing on his own just like his siblings:  Peyton, Adrien, and Makenna. 


A Process of Grief:  The Reality of Grieving a Child with Complex Health Care Needs
by Deborah Tiel Millard
What many people don't realize is that when you have a child with complex health care needs, grieving is part of the process of life.  We grieve the life we had hoped for them. We grieve the milestones they don't hit.  We grieve when they can't use an age-appropriate toy again and again, one birthday after another.  We grieve on days that don't necessarily make sense.  Grief is quite simply part of life.

Remembering Sebastian with Joy:  Rituals of Remembrance
by Ellen Gray
It's been more than three years since my son Sebastian died.

We speak of him regularly, and remember him actively.  I want Sebastian to be remembered with joy, especially by his two big brothers.

In the early months, finding ways to actively remember and mourn Sebastian helped me to get through the days.  Later, these rituals and traditions became ways to celebrate his life and include him in our ongoing family life.  We have lots of family rituals that help in our ongoing healing, and that maintain his place as an important member of our family.

Specialty Article

Respiratory
The Importance of a Good Respiratory Routine
Children with neuromuscular conditions, metabolic disorders, and respiratory conditions often spend a lot of time sick with colds and flu each year.  While illness is often unavoidable, keeping a good respiratory routine both before and during illness can make a dramatic difference in your child's ability to handle and recover from illnesses without secondary respiratory complications like pneumonia.  An appropriate respiratory routine very well may save your child's life, and will certainly improve his or her quality of life.

My daughter spent all of the 2008-9 cold and flu season unbelievably sick.  Even the smallest cold--a mere day of a runny nose for her siblings--would last seven to ten days for her, most of it on lots of oxygen.  A more severe bug landed her on steroids, antibiotics, or both, and she even developed sepsis from bacteria in her lungs seeping into her bloodstream.  Had she not had extensive home nursing and medical technology, she probably would have needed to be hospitalized at least six times.

We spent the spring and summer of 2009 developing an appropriate respiratory routine, which her pulmonologist affectionately calls her "pulmonary toilet" routine.  While she has still had many illnesses this year, they are much shorter in duration, with many fewer doses of steroids and antibiotics, and fewer serious complications

Feature Article

You've probably heard about Morgan's Wonderland, a new park in San Antonio, Texas designed specifically for children with special needs.  While it looks very similar to other similar attractions, with fun activities such as a carousel, playgrounds, and water play, it has been carefully designed to meet the needs of children with a variety of special needs, including children with physical, cognitive, and developmental disabilities.

Cheryl S. and her son Eric, who is diagnosed with Fragile X syndrome, visited Morgan's Wonderland on a preview day, shortly before the grand opening this past April.  They had a wonderful time and brought back an assortment of pictures and insider information to help prepare other families for a visit.